Individual provider Active NPI

Franciscus Dieckman, PT., MPT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1114073699
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14152 Issued in FL
Practice address
1727 2ND St Ste 2
Sarasota, FL 34236-8524
Phone
(941) 951-0170
Fax
(941) 993-1088
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT14152 FL Primary

Addresses

Primary practice location

1727 2ND St Ste 2
Sarasota, FL 34236-8524

Mailing address

PO Box 15310
Sarasota, FL 34277-1310
Phone (941) 248-9591

Other practice location 1

2355 McClellan Pkwy
Sarasota, FL 34239-3714
Phone (941) 248-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031113000005 FL Practitioner - Physical Therapist in Private Practice 1658285879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Club 50, LLCGroup PAC ID 4789902578, 7 clinicians

Practice addresses (Care Compare)

1727 2ND St
Suite 2
Sarasota, FL 34236-8524
Phone (941) 951-0170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14152FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Club 50, LLC CurrentSince Feb 3, 2025 Accepting new patients
A2Pt Physical Therapy & Physiofit Inc CurrentSince Mar 28, 2026 Accepting new patients
Venice Rehab, LLC Physical Therapist PastSince Apr 1, 2003 Accepting new patients

Locations

1727 2nd St
Ste 2
Sarasota, FL 34236
Phone (941) 951-0170

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1114073699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15310",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342771310",
            "telephone_number": "941-248-9591",
            "fax_number": "941-870-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 2ND ST STE 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368524",
            "telephone_number": "941-951-0170",
            "fax_number": "941-993-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 McClellan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393714",
            "country_code": "US",
            "telephone_number": "941-248-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIECKMAN",
        "first_name": "FRANCISCUS",
        "name_prefix": "Mr.",
        "credential": "PT., MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.